Postherpetic NeuralgiaNCT07400640
Erector Spinae Plane Block Versus Transcutaneous Radiofrequency in Postherpetic Neuralgia
An observational study of Postherpetic Neuralgia and Neuropathic Pain, run by Diskapi Teaching and Research Hospital at 1 site in Turkey (Türkiye).
Trial summary
This observational study aims to compare the effectiveness of ultrasound-guided erector spinae plane (ESP) block and transcutaneous radiofrequency (RF) treatment in patients with postherpetic neuralgia. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Postherpetic Neuralgia, Neuropathic Pain, Herpes Zoster
- What is being tested?
- Erector Spinae Plane Block
- Type of treatment
- Surgery or procedure
- How many people
- 50 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Jun 2025to 1 Oct 2026
- Phase
- Observational
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients aged 18 to 80 years diagnosed with postherpetic neuralgia involving cervical, thoracic, or lumbar dermatomes who underwent either ultrasound-guided erector spinae plane block or transcutaneous radiofrequency treatment as part of routine clinical care. Patients were included if they had persistent pain despite conservative treatment and a baseline Visual Analog Scale (VAS) score greater than 5. All treatments were completed prior to study enrollment, and no changes were made to clinical management for research purposes.
Who may be able to join
- Diagnosis of postherpetic neuralgia involving cervical, thoracic, or lumbar regions
- Age between 18 and 80 years
- Persistent pain despite conservative treatment
- Baseline VAS score > 5
Who cannot join
- Ophthalmic or extremity postherpetic neuralgia
- Allergy to local anesthetics
- Pregnancy
- Coagulopathy or use of antiplatelet therapy
- Cognitive impairment preventing informed consent
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Turkey (Türkiye)1 site, 1 recruiting
- Recruiting
Ayse Betul Acar
Ankara, 06500
Gevher Rabia Genç Perdecioğlu, 5332009184, gevhergenc@gmail.com
About this study
Official title: Which Is More Effective in the Treatment of Postherpetic Neuralgia: Erector Spinae Plane Block or Transcutaneous Radiofrequency?
This observational study aims to compare the effectiveness of ultrasound-guided erector spinae plane (ESP) block and transcutaneous radiofrequency (RF) treatment in patients with postherpetic neuralgia. Pain intensity and neuropathic pain characteristics will be evaluated using the Visual Analog Scale (VAS) and the Self-Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) score.
Read the detailed description
Postherpetic neuralgia is a challenging neuropathic pain condition that significantly affects quality of life. In routine clinical practice, patients are treated with either ultrasound-guided erector spinae plane block or transcutaneous radiofrequency therapy based on clinician preference and experience.
This observational study includes patients who have already completed one of these treatments as part of standard care in the Algology Clinic. No randomization or modification of treatment plans was performed for research purposes. Patients will be divided into two cohorts according to the treatment they received. Treatment outcomes will be retrospectively evaluated and compared using VAS and S-LANSS scores before treatment, immediately after treatment, and at 1-month follow-up.
- Conditions
- Postherpetic Neuralgia, Neuropathic Pain, Herpes Zoster
- Being tested
- Erector Spinae Plane Block
- Keywords
- postherpetic neuralgia, esp block, transcutaneous rf
- Medical subject headings
- Neuralgia, Postherpetic, Neuralgia, Herpes Zoster
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Erector Spinae Plane BlockProcedure or surgery
Also called Transcutaneous Radiofrequency
- Ultrasound-guided erector spinae plane block performed under sterile conditions as part of routine clinical care. After skin antisepsis, a 22-G spinal needle was advanced to the erector spinae plane at the level corresponding to the affected dermatome, and a total volume of 10 mL consisting of dexamethasone, bupivacaine, and normal saline was injected. Patients were observed post-procedure according to standard clinical practice.
- Transcutaneous radiofrequency treatment applied adjacent to the affected dermatome as part of routine clinical care. Adhesive surface electrodes were placed over the painful area, and pulsed electrical stimulation was delivered by the device for 10 minutes per session. The procedure was performed once weekly for two sessions, without any modification for research purposes.
| Study group | Role | What they receive |
|---|---|---|
| Erector Spinae Plane Block | Patients with postherpetic neuralgia who received ultrasound-guided erector spinae plane block as part of routine clinical care. Receives: Procedure: Erector Spinae Plane Block | |
| Transcutaneous Radiofrequency | Patients with postherpetic neuralgia who received transcutaneous radiofrequency treatment applied adjacent to the lesion area as part of routine clinical care Receives: Procedure: Erector Spinae Plane Block |
What is being measured
The primary outcome is the main question the study is designed to answer.
VAS
Pain intensity assessed by Visual Analog Scale (VAS): is a simple tool used in clinical trials to measure pain intensity. Patients rate their pain on a scale, typically from 0 (no pain) to 10 (worst imaginable pain). It provides a quick, quantitative assessment of subjective pain and is commonly used to evaluate treatment effectiveness before and after intervention.
Measured: Baseline, post-procedure 1 month
Secondary outcomes (1)
S-LANSS
Neuropathic pain characteristics were assessed using the Self-report Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) questionnaire. The S-LANSS is a validated self-administered screening tool consisting of seven items evaluating pain quality and sensory abnormalities, including burning sensation, electric shock-like pain, dysesthesia, and altered skin sensitivity. Total scores range from 0 to 24, with scores ≥12 indicating a probable neuropathic pain component. The questionnaire has demonstrated good sensitivity and specificity for identifying neuropathic pain in both clinical and research settings.
Measured: Baseline, post-procedure 1 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Feb 2026
- Study start1 Jun 2025
- Primary completion1 Jun 2026 (estimated)
- Study completion1 Oct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Postherpetic NeuralgiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 50 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Diskapi Teaching and Research Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Damla Yürük, Diskapi Teaching and Research Hospital
- Investigators
- AYSE BETUL ACAR, Principal investigator, Diskapi TRH
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07400640
- Sponsor's protocol ID
- ESP Block & Transcutaneous PRF
- Status last verified
- Feb 2026
- First submitted
- 3 Feb 2026
- Last updated
- 25 Feb 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No